Healthcare Provider Details

I. General information

NPI: 1033545678
Provider Name (Legal Business Name): ADVANCED SLEEP AND PULMONARY CENTER PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/14/2013
Last Update Date: 07/31/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7240 SHERIDAN RD STE 101
WHITE HALL AR
71602-3272
US

IV. Provider business mailing address

7240 SHERIDAN RD STE 101
WHITE HALL AR
71602-3272
US

V. Phone/Fax

Practice location:
  • Phone: 870-247-6105
  • Fax: 870-247-6106
Mailing address:
  • Phone: 870-247-6105
  • Fax: 870-247-6106

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QS1200X
TaxonomySleep Disorder Diagnostic Clinic/Center
License NumberMC-2984
License Number StateAR

VIII. Authorized Official

Name: DR. ALI ALNASHIF
Title or Position: OWNER/MANAGER
Credential: M.D.
Phone: 870-247-6105